Bayview Gastroenterology Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

20A7421 Issued in CA

Legal business name

BAYVIEW GASTROENTEROLOGY MEDICAL CORPORATION

Practice address

4145 Clares St
Ste a
Capitola, CA 95010-2053

Phone

(831) 662-9999

Fax

(831) 662-9998

NPI assigned

Jun 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ali Khademi, D.O.NPI 1427121037

Title

Physician

Phone

(831) 662-9999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1765/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Khademi, DO

  • Gastroenterology Physician
  • Capitola, CA
  • NPI 1427121037
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1306006879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CLARES ST",
            "address_2": "STE A",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102053",
            "telephone_number": "831-662-9999",
            "fax_number": "831-662-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CLARES ST",
            "address_2": "STE A",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102053",
            "telephone_number": "831-662-9999",
            "fax_number": "831-662-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW GASTROENTEROLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "KHADEMI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "831-662-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A7421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Antonia Barbieri, MFT
• Donna M. Barr, RNP
• Jaidynn Basaldua
• Lan Nguyen Batt, O.D.
• Sarah Elizabeth Bayani
• Laura Beach, BS, MA, IBCLC
• Kathy Beckerman, LMFT
• Richard A Bernstein, DO
• Melissa Berrenge-Browde, PSYCHOLOGIST
• Lindy Brigante Bixby, DDS

• Gastroenterology Physician in Capitola, CA
• Providers in Capitola, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.